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Home My WebLink AboutM2022-0001 - PermitsCity of Newport Beach - Building Division 11pilIII 1111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 2 0 0 0 1 Permit Counter Phone (949)644-3288 Job Address: 400 MORNING STAR LN Floor: Suite: Bldg: 0 Description of Work: REMOVE EXISTING (1) 14" SQ T-PILE & REPLACE W/ NEW Inspector Area: If 3 Legal Description: BALBOA TR LOT 9 BILK 13 ALL -INC POR ABAN ST ADJ-(AND BALBOA BAY FIR ONT Owner: FINLAY ROB Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 400 MORNING STAR LN Address: 6351 INDUSTRY WAY NEWPORT BEACH, CA 92661 WESTMINSTER CA 92683 Phone: Phone: 949-631-3121 State Lie: C-066947 Applicant: MORALES MARISSA Address: 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: 949-631-3121 Special Cond: Issued Date . 02/16/2022 Con State Lic:797052 Lic Expire: 07/31/2023 Bus Lic: BT01122734 Lic Exp Date: 11/30/2022 HARBOR Permit: M2022-0001 Project No : 0068-2022 Inspection Requests Phone (949)644-3255 N THE WEEKEND Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 PECT"i-I Designer: Address: Phone: Longshoremen's and Harbor Workers' Compensation Declaration - Carrier: AMERICAN EQUIT Policy No: WC173816804 Expire : 12/31/2022 FEES Valuation: $11,200.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: $314.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review : $0.00 Plan Check Fee $329.00 Records Mangement: $6.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $61.00 Plan Dep - OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee : $1.00 TOTAL FEE : $711.00 Plan Check Fee :. $390.00 Fee Due at permit Issuance: $321.00 PROCESSED BY: PLAN CHECK BY: PUBLIC WORKS: 7_01k. e _ _ _d APPROVAL TO ISSUE: ° o OTHER DEPARTMENTS: FINAL INSPECTION: PERMITEXPIRES 180 DAYSAFTER ISSUANCE OR LAST VALID INSPECTION • ° + c ' ° uo 00 °o• DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant fo permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business an( fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that thi rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built c roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does nol ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot IS I a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business (fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. (nature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin N{ith eptian 7000) of Division 3 of the Busine of sions 1 de, nd y license is in full nd effect. License Class License No. Date •i!i Y 1� Contractor Signature .ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANY CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL �100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the foil( I have and will maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ` My workers' compensation insurance carrier and policy number are: f Policy Number Expiration Date of Agent Phone # I certify that, in the p3g=ynance of the work f9rVMJh this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, an, that, if I should besubj to the workers' mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. co ature of Applica Da -ARATION REGIAWDINGC115NStRUIRM05N LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Lender's Name Lender'sAddress By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize repre tivesMf this cif county to enter the above -identified property for inspection purposes. Signature:. � 1 , — Print Name: / Mort �-T M 06�7t Civil Code). CTION ' 8Y DECLARATION FCOMPLIANC€WITH CODEOF FOR OFFICE USE ONLY FEDERAL REG LATIONSPART Bf OF TITLE40AND AQMDRULEf4Q3. PERMIT EOINREV fSUBMITTEDASBESTOSNOTIFICATIONTO: ❑ EPA ❑ AQMD 4DAT7E • PERMFTEXTENDED ❑ ASBESTOS NORRCATfONIS NOT APPLICABLE TOPERMtTFtNAtPROPOSED DEMOLITION. CERTFIC4TE •• •SIGNATURE:OCCUPATICYISi) • s